NPIMap

Organization Active NPI

Multi-County Juvenile Detention Center

  • Prison Health Clinic/Center
  • Lancaster, OH
National Provider Identifier
1568678571
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
MULTI-COUNTY JUVENILE DETENTION CENTER
Practice address
923 Liberty Dr
Lancaster, OH 43130-8045
Phone
(740) 652-1525
Fax
(740) 625-1527
NPI assigned
May 15, 2007
Organization subpart
Yes
Parent organization
FAIRFIELD COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Edgar A Penrod
Title
Superintendent
Phone
(740) 352-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

923 Liberty Dr
Lancaster, OH 43130-8045

Mailing address

923 Liberty Dr
Lancaster, OH 43130-8045
Phone (740) 652-1525

National Provider Directory

National Provider Directory
Tax ID family
Fairfield Cnty BRD of H3 organizations share this tax ID, including this one
Part of
Fairfield Cnty BRD of H

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

923 Liberty Dr
Lancaster, OH 43130
Phone (740) 652-1525

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1568678571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 LIBERTY DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308045",
            "telephone_number": "740-652-1525",
            "fax_number": "740-625-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 LIBERTY DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308045",
            "telephone_number": "740-652-1525",
            "fax_number": "740-625-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-COUNTY JUVENILE DETENTION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAIRFIELD COUNTY",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "740-352-1525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.